| NPI | 1194107524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036156122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107415) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-05-07 |